Provider Demographics
NPI:1043773526
Name:PATEL, NISHA M (DO)
Entity type:Individual
Prefix:
First Name:NISHA
Middle Name:M
Last Name:PATEL
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Mailing Address - Street 1:222 E 41ST ST FL 20
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10017-6739
Mailing Address - Country:US
Mailing Address - Phone:646-501-9831
Mailing Address - Fax:646-501-2027
Practice Address - Street 1:222 E 41ST ST FL 20
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10017-6739
Practice Address - Country:US
Practice Address - Phone:646-501-9831
Practice Address - Fax:646-501-2027
Is Sole Proprietor?:No
Enumeration Date:2019-04-10
Last Update Date:2024-07-07
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY317656207RI0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious Disease